What is the role of CT and MRI in the evaluation CNS complications in HIV infection?

Updated: Apr 12, 2018
  • Author: Regina Krel, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Answer

A brain CT or MRI with and without contrast is indicated for all patients presenting with altered mental status, headaches, seizures, or focal neurologic signs. MRI is the superior technique but is not available universally.

If this initial imaging study is normal, or shows atrophy or focal signal abnormalities but no mass lesion, diagnostic consideration should be given to meningitides, HAND, or PML.


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